Empowering Change Mental Health Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMPOWERING CHANGE MENTAL HEALTH SERVICES

Practice address

103 Tulsa TRL
Hopatcong, NJ 07843-1236

Phone

(973) 607-7593

NPI assigned

Feb 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Gaccione, LCSW

Title

Owner

Phone

(973) 607-7593

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582329600000",
    "number": "1982238531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TULSA TRL",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431236",
            "telephone_number": "973-607-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING CHANGE MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A",
        "authorized_official_last_name": "GACCIONE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-607-7593",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.